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Pituitary and adrenal disorders
hypopituitarism
31
Nursing
Undergraduate 1
01/31/2023

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Cards

Term
inadequate secretion of GH occurs during preadolescence a syndrome called _____ may occur
Definition
dwarfism
Term
that anterior pituitary may be damaged by
Definition
necrosis after hemorrhage, trauma, infection, radiation or autoimmune disorders
Term
the major cause of hypopituitarism
Definition
inadequate secretion of gh or an inability of the targe organs to respond to GH
Term
growth has been completed and some pathologic process impairs the function of the pituitary
Definition
panhypopituitarism
Term
causes for panhypopituitarism
Definition
sheehan syndrome, tumors of the pituitary gland, chronic recurrent infection, total/subtotal destruction or removal of the pituitary, suppression of pituitary tropic hormones
Term
shock and hypotesion during the postpartum period leading to infarctio of the pituitary gland
Definition
sheehan syndrome
Term
manifestations of hypopituitarism depend on
Definition
the stage of life deficiency occur, and which hormones are deficient
Term
dwarfs have an accelerated patter of aging and thus have a shorter life span than the general population by as much as
Definition
20 years
Term
when a state of panhypopituitarism exists a syndrome called _____ is also present
Definition
simmonds cachexia
Term
the pt has muscle and organ wasting and disruptions of digestion and metabolism
Definition
simmonds cachexia
Term
absence of ACTH affects the person's ability to compe effectively with
Definition
stress
Term
in hypothyroidism insufficient thyroid hormone is available for normal
Definition
metabolism and thermogenesis or heat production
Term
people who are hypothyroid may be unable to maintain a normal
Definition
BMR or body temp
Term
if a lack of MSH exists, decreased ____ of the skin occurs resulting in____
Definition
pigmentation, pallor
Term
In both men and women ____ may be seen
Definition
sexual dysfunction, loss of libido, decreased body hair
Term
general signs an symptoms may include
Definition
fatigue, weakness, malaise, cold intolerance and lethargy
Term
if pituitary dysfunction is caused by a tumor the pt may have
Definition
headaches, vision disturbances, seizures and loss of the sense of smell
Term
deficiency of thyroid stimulating hormone necessitates thyroid replacement with drugs such as
Definition
levothyroxine(synthroid) or liothyronine (cytomel)
Term
gonadotropin deficiency requires
Definition
lifelong therapy
Term
In pts for whom childbearing is desirable _____ are administered to both men and women
Definition
FSH and LH
Term
gonadotropin replacement is contraindicated in _______ in women and _______ in men
Definition
breast cancer, prostate cancer
Term
GH replacement is necessary for growth in
Definition
children
Term
Replacement of GH in adults with a GH deficiency produces
Definition
improved energy, increased lean body mass, a general feeling fo well being
Term
when collecting data for assessment of the patient with hypopituitarism be especially aware of
Definition
mental acuity, emotional stability and affect
Term
when assessing hypopituitarism document development of secondary sex characteristics including
Definition
axillary and pubic hair, genital maturity, breast development and onset of menarche
Term
Disorders of the posterior pituitary or neurohypophysis are characterized by deficient or excess
Definition
ADH production
Term
another name for ADH is
Definition
vasopressin
Term
ADH helps to maintain fluid balance by promoting reabsorption of water in the _____ when body water is decreased or ver ______
Definition
renal tubules, concentrated
Term
Increased ADH release causes increased
Definition
water retention
Term
Increased ADH releases causes increased ______ and _______
Definition
intravascular volume and decreased urine output
Term
two disorders associated with dysfunction of neurohypophysis
Definition
DI and SIADH
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